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Effects of Family Empowerment on Increasing Family Support in Patients with Type-2 Diabetes Mellitus

*Iskim Luthfa  -  Nursing Faculty, Sultan Agung Islamic University, Indonesia
Iwan Ardian  -  Nursing Faculty, Sultan Agung Islamic University, Indonesia
Open Access Copyright (c) 2019 Nurse Media Journal of Nursing

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Abstract

Background: Patients with type-2 Diabetes Mellitus (DM) need support from their families to perform self-care to prevent complications; however, not all families have effective support. Family empowerment is a family-based strategic intervention which can improve family support to those patients.

Purpose: This study aimed to determine the effects of family empowerment on increasing family support in patients with type 2 DM.

Methods: This study used a quasi-experiment with non-equivalent control group design. Forty-six respondents were recruited using a consecutive sampling technique and assigned to the control and intervention groups. Respondents in the intervention group were given family empowerment intervention by visiting their homes four times, for 120 minutes each. In contrast, the control group was given the intervention of standard booklets. The Hensarling Diabetes Family Support Scale (HDFSS) was used to observe the family support on both groups. Data were analyzed by independent t-test.

Results: Results showed that there was a significant difference between the intervention and the control group with t=7.86 and p-value of 0.00. There were mean differences of 2.29 and 0.28 between the intervention and the control group, respectively.

Conclusion: Family empowerment affected family support in patients with type-2 DM. Based on this study, it is recommended that the health workers advocate and encourage the family in the planning management of patients with diabetes mellitus.
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Keywords: Family empowerment; family support; type-2 diabetes mellitus

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  1. American Diabetes Association [ADA]. (2018). Standards of medical care in diabetes - 2018. Diabetes Care, 41(1), s55-s64
  2. Baffour, T., & Chonody, J. (2012). Do empowerment strategies facilitate knowledge and behavioral change? The impact of family health advocacy on health outcomes. Social Work in Public Health, 27(5), 507-519. Doi: 10.1080/19371918.2010.494991
  3. Bomar, P.J. (2004). Promoting health in families: Applying family research and theory to nursing practice. Saunders: Lippincott
  4. Friedman, M. M., Bowden, O., & Jones, M. (2010). Buku ajar keperawatan keluarga: Riset, teori dan praktik (Family nursing textbooks: Research, theory and practice (5th ed.) (Achir Yani S. Hamid, Trans). Jakarta: EGC
  5. Graves, K., & Shelton, T. (2007). Family empowerment as a mediator between family-centered systems of care and changes in child functioning: identifying an important mechanism of change. Journal of Child & Family Studies, 16(4), 556-566. Doi: 10.1007/s10826-006-9106-1
  6. Hensarling, J. (2009). Development and psychometric testing of Hensarling’s diabetes family support scale (Doctoral Dissertation). Graduate School of Texas Women’s University
  7. Kashaninia, Z., Payrovee, Z., Soltani, R., & Mahdaviani, S. (2018). Effect of family empowerment on asthma control in school-age children. Journal of Respiratory Disease, Thoracic Surgery, Intensive Care and Tuberculosis, 17(1), 47-52
  8. Kosegeran, B., Ratag, G. A., & Kumaat, L. (2017). Gambaran pengetahuan dan sikap penderita diabetes mellitus (DM) di Wilayah Kerja Puskesmas Tinoor (The Description of knowledge and attitudes of people with diabetes mellitus (DM) in the Tinoor Health Center Working Area). Jurnal Keperawatan, 5(2), 1-6
  9. Kovacs, B.K., Nicolucci, A., Holt, R., Willaing, I., Hermans, N. & et al (2013). Diabetes attitudes, wishes and needs second study (DAWN2™): Cross-national benchmarking indicators for family members living with people with diabetes. Diabetic Medicine, 30(7), 778-788. doi: 10.1111/dme.12239
  10. Luthfa, I. (2016). Family support pada penderita diabetes mellitus tipe 2 di Puskesmas Bangetayu Semarang, analisis RASCH model (Family support for patients with type 2 diabetes mellitus at Bangetayu Semarang health center, a RASCH analysis model). Jurnal Keperawatan dan Pemikiran Ilmiah Nurscope, 2(2), 1-12
  11. Malini, H., Yeni, F., & Saputri, D. E. (2018). The effect of InGDEP on type 2 diabetes patients’ knowledge and self-care. Jurnal Keperawatan Padjadjaran, 6(3), 235-242. doi: 10.24198/jkp.v6i3.696
  12. Maryam, R. S., Resnayati, Y., Riasmini, N. M., & Sari, C. W. (2018). Effect of family support intervention towards quality of life with elderly’s hypertension in community. Jurnal Keperawatan Padjadjaran, 6(3), 280-288. Doi: 10.24198/jkp.v6i3.696
  13. Mayberry, L.S. & Osborn, C.Y. (2012). Family support, medication adherence, and glycemic control among adults with type 2 diabetes. Journal of Diabetes Care, 35(6), 1239-1245. doi: 10.2337/dc11-2103
  14. Ministry of Health Republic Indonesia [MOH RI]. (2013). Riset kesehatan dasar (Basic health research). Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI
  15. Muhtar. (2013). Pemberdayaan keluarga dalam peningkatan self-efficacy dan self-care activity keluarga dan penderita TB paru (Family empowerment in increasing self-efficacy and self-care activities in families and people with pulmonary TB). Jurnal Ners, 8(2), 229-239. doi: 10.20473/jn.v8i2.3826
  16. Nachshen, J. (2005). Empowerment and families: building bridges between parents and professionals, theory and research. Journal on Developmental Disabilities, 11(1), 67-75. Doi: 10.1.1.575.9567
  17. Nugroho, W. (2000). Keperawatan gerontik (Gerontik nursing). Jakarta: Gramedia
  18. Olin, S., Hoagwood, K., Rodriquez, J., Ramos, B., Burton, G., Penn, M., … Jensen, P. (2010). The application of behavior change theory to family-based services: improving parent empowerment in children’s mental health. Journal of Child & Family Studies, 19(4), 462-470. doi: 10.1007/s10826-009-9317-3
  19. Polit, D., & Beck, C. (2001). Nursing research: principles and methods (seventh ed.). Philadelphia: Lippincott Williams & Wilkins
  20. Sari, Y., Purnawan, I., Sumeru, A., & Taufik, A. (2018). Quality of life and associated factors in Indonesian diabetic patients with foot ulcers. Nurse Media Journal of Nursing, 8(1), 13-24. doi: 10.14710/nmjn.v8i1.16815
  21. Shields, C., Finley, M., Chawla, N., & Meadors, W. (2012). Couple and family interventions in health problems. Journal of Marital and Family Therapy, 38(1), 265-280. doi: 10.1111/j.1752-0606.2011.00269.x
  22. Suhanda, Y., Afgani, A., & Feriandi, Y. (2016). Gambaran tingkat self-care pada pasien rawat jalan diabetes melitus tipe 2 di RSUD Al-Ihsan Provinsi Jawa Barat (The description of the level of self-care in type 2 diabetes mellitus outpatients in Al-Ihsan General Hospital, West Java Province). Prosiding Pendidikan Dokter (pp. 630-637). Bandung: Unisba. Retrieved from http://karyailmiah.unisba.ac.id/index.php/dokter/index
  23. Tamara, E., Bayhakki, & Nauli, F. (2014). Hubungan antara dukungan keluarga dan kualitas hidup pasien diabetes mellitus tipe II di RSUD Arifin Achmad Provinsi Riau (Relationship between family support and quality of life of patients with type II diabetes mellitus at Arifin Achmad Hospital in Riau Province). Jurnal Online Mahasiswa PSIK UNRI, 1(2), 1-7
  24. Whitley, D., Kelley, S., & Campos, P. (2011). Perceptions of family empowerment in African American Custodial grandmother raising. Families in Society, 92(4), 110-119. Doi: 10.1606/1044-3894.4148
  25. Wild, S., Roglic, G., Green, A., Sicree, R., & King, H. (2004). Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Journal of Diabetes Care, 27(5), 1047-1053
  26. Wise, J. (2005). Empowerment practice with families in distress. New York: Columbia University Press

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